Provider Demographics
NPI:1982797551
Name:GERHARD, HARVEY (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:
Last Name:GERHARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 MOUNT AIRY ROAD
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2401
Mailing Address - Country:US
Mailing Address - Phone:908-766-6605
Mailing Address - Fax:908-766-0439
Practice Address - Street 1:416 MOUNT AIRY ROAD
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2401
Practice Address - Country:US
Practice Address - Phone:908-766-6605
Practice Address - Fax:908-766-0439
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA035976207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3147304Medicaid
GE461711Medicare ID - Type Unspecified
NJ3147304Medicaid